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GERALD G GROSS MD
NPI 1013935667
Internal Medicine - Hematology & Oncology in Fargo, ND

Active since July 18, 2006PECOS Enrolled
74.19/100
CMS Quality Rating

NPPES record last updated: May 2, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 2, 2022, Feb 14, 2021 (2 updates tracked since 2021).

About Gerald G Gross Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GERALD G GROSS MD (NPI 1013935667) is an individual hematology & oncology provider in Fargo, North Dakota, licensed in North Dakota (6921) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Fargo.

NPPES Registry Identity

NPI1013935667
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameGERALD G GROSSCredential: MD
Location Address820 4TH ST NFargo, ND 58102-4539
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (701) 234-6161 · Fax (701) 234-3861
Phone(701) 234-6161
Sole ProprietorNo
Enumeration DateJuly 18, 2006
Last NPPES UpdateMay 2, 20222 updates tracked since enumeration
NPPES CertifiedMay 2, 2022
✔ NPI 1013935667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in ND · 6921
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
820 4TH ST N, Fargo, ND 58102
Open in Google Maps ↗

Secondary Practice Location 1

Location 1801 Broadway NFargo, ND 58102-3641 · Phone (701) 234-4811 · Fax (701) 234-6979

Other Identifiers 2

Medicaid16332ND
Medicaid18080ND

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gerald G Gross Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
87 services30 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
38 services37 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
16 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$168.12 typical visit price
range $55.75 – $168.12
Typical copayment $42.03 (range $13.93 – $42.03)
Most-billed visit code 99205
Established Patient
$98.29 typical visit price
range $18.11 – $137.65
Typical copayment $24.57 (range $4.52 – $34.41)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

74.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.45
Promoting Interoperability99
Improvement Activities40
Cost27.37

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAULINE HOLMAN MS, CGC
Genetic Counselor, MS
820 4TH ST N
FARGO, ND 58102
Cass County (701) 234-7634
AMIT PANWALKAR
Internal Medicine (Hematology & Oncology)
820 4TH ST N
FARGO, ND 58102
Cass County (701) 234-6161
HARITHA REDDY MOPURU MD
Internal Medicine (Hematology & Oncology)
820 4TH ST N
FARGO, ND 58102
Cass County (701) 234-6161
ISAAK NATHANIEL AILTS MD
Internal Medicine
820 4TH ST N
FARGO, ND 58102
Cass County (701) 234-6161
JARRETT FAILING M.D.
Internal Medicine (Hematology & Oncology)
820 4TH ST N
FARGO, ND 58102
Cass County (701) 234-6161
LISA ANN BRAUN NP
Nurse Practitioner
820 4TH ST N
FARGO, ND 58102
Cass County (701) 234-6161
OLUWATOBI EZEKIEL ODETOLA MBBS
Internal Medicine (Hematology & Oncology)
820 4TH ST N
FARGO, ND 58102
Cass County (012) 346-1617
DANIEL ALMQUIST M.D.
Internal Medicine (Hematology & Oncology)
820 4TH ST N
FARGO, ND 58102
Cass County (701) 234-3100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gerald Gross's NPI number?

The NPI number for Gerald Gross is 1013935667. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Gerald Gross located?

Gerald Gross practices at 820 4th St N, Fargo, ND 58102. The listed phone number is (701) 234-6161.

What is Gerald Gross's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Gerald Gross enrolled in Medicare?

Yes. Gerald Gross is registered in the Medicare PECOS enrollment system.

What insurance does Gerald Gross accept?

Health plans from Blue Cross Blue Shield of North Dakota list Gerald Gross as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gerald Gross was last updated on May 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.